Seasonique (generic name of components: levonorgestrel and ethinyl estradiol) is recommended to be taken in the following regimen: one light blue-green tablet containing levonorgestrel and ethinyl estradiol daily for 84 consecutive days, followed by 7 days of yellow ethinyl estradiol tablets, during which withdrawal bleeding is expected to occur. If spotting or breakthrough bleeding occurs, the patient is instructed to continue on the same regimen. This type of bleeding may be transient and without significance; however, if the bleeding is persistent or prolonged, the patient is advised to consult her healthcare provider.
Given the fact that you bleed for one week and are feeling very tired, lightheaded, experiencing cramping, and many hot flashes, you might want to wait for several more days for the symptoms to subside. If this does not happen, consider visiting your gynecologist. Perhaps, Seasonique does not affect your body in the proper way and a kind of hormonal imbalance might have occurred. If this is the case, then the gynecologist might recommend changing the birth control pills with others that might be more suitable for you.
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